Lake Park Nursing & Rehabilitation Center

LBN: Everest Long Term Care, Llc
Lake Park Nursing & Rehabilitation Center is an health care organization with primary practice located at 3315 Faith Church Rd , Indian Trail NC 28079-9300. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Everest Long Term Care, Llc can be contacted via phone (704) 882-3420, or through Mcdaniel, Karen G via phone (252) 523-9094.

Contact Information

Primary practice address
3315 Faith Church Rd Indian Trail NC 28079-9300
Phone: (704) 882-3420
Fax: (704) 882-5197
Website:
Map and Directions
Authorized official contact:
Name: Mcdaniel, Karen G
Phone: (252) 523-9094

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NH0592 North Carolina

Profile Details

NPI number 1548206907
LBN Legal business name Everest Long Term Care, Llc
DBA Doing business as Lake Park Nursing & Rehabilitation Center
Authorized official Mcdaniel, Karen G
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2006
Last updated Jul 14th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548206907 NPPES
North Carolina MEDICAID 340613B
North Carolina Other 00867
North Carolina MEDICAID 3405502
North Carolina MEDICAID 3415502

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